Bilateral hydronephrosis in elderly women with advanced pelvic floor prolapse may cause serious medical problems or may be an incidental finding. The downward descent of the bladder due to pelvic floor prolapse may cause narrowing of the lower parts of the ureters on both sides resulting in bilateral hydronephrosis with dilatation of the renal pelvis and calyces which may or may not be associated with significant decline in kidney function. We present the case of a 78 year old lady with bilateral hydronephrosis with pelvic floor prolapse with preserved renal function.

Chronic fatigue syndrome (CFS) primarily affects women aged over 40 years, and typically presents with persistent fatigue for more than 6 months, associated with rheumatologic, infectious, and neurological symptoms. Although CFS is characterized as a functional syndrome, due to the absence of an organic cause, there is evidence of a strong correlation between CFS and hormonal factors, particularly those involved in the pathophysiology of chronic anovulation. Gynecological surgeries and endometriosis may also be associated with CFS.